Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Apr 16, 2022; 14(4): 235-249
Published online Apr 16, 2022. doi: 10.4253/wjge.v14.i4.235
Endoscopic resection of superficial bowel neoplasia: The unmet needs in the Egyptian practice
Mohamed H Emara, Mariam Zaghloul, Haidi Karam-Allah Ramadan, Salem Youssef Mohamed, Mohammed Tag-Adeen, Ahmed Alzamzamy, Mohamed Alboraie, Ahmad Madkour, Ahmed Youssef Altonbary, Tarik I Zaher, Ahmed Abo Elhassan, Nermeen Abdeen, Mohammed Hussien Ahmed
Mohamed H Emara, Mariam Zaghloul, Mohammed Hussien Ahmed, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Kafr Elshiekh 33516, Egypt
Haidi Karam-Allah Ramadan, Department of Tropical Medicine and Gastroenterology, Assiut University, Assiut 71515, Egypt
Salem Youssef Mohamed, Department of Internal Medicine, Faculty of Medicine, Gastroenterology and Hepatology Unit, Zagazig University, Zagazig 44519, Egypt
Mohammed Tag-Adeen, Division of Gastroenterology and Hepatology, Department of Internal Medicine, South Valley University, Qena Faculty of Medicine, Qena 83523, Egypt
Ahmed Alzamzamy, Department of Gastroenterology and Hepatology, Maadi Armed Forces Medical Complex, Military Medical Academy, Cairo 11841, Egypt
Mohamed Alboraie, Department of Internal Medicine, Al-Azhar University, Cairo11884, Egypt
Ahmad Madkour, Department of Endemic Medicine, Helwan University, Cairo 11795, Egypt
Ahmed Youssef Altonbary, Department of Gastroenterology and Hepatology, Mansoura University, Mansoura 35516, Egypt
Tarik I Zaher, Department of Tropical Medicine, Zagazig University, Zagazig 44519, Egypt
Ahmed Abo Elhassan, Department of Tropical Medicine, Suez Canal University, Ismailia 41522, Egypt
Nermeen Abdeen, Department of Tropical Medicine, Alexandria University, Alexandria 21526, Egypt
Author contributions: Emara MH, Ahmed MH, Mohamed SY, Ramadan HKA, Alboraie M, and Zaghloul M proposed the concept; Emara MH, Ahmed MH, Mohamed SY, Ramadan HKA, Alboraie M, Zaghloul M, Altonbary AY, Madkour A, Zaher TI, Abdeen N, Abo Elhassan A, Tag-Adeen M, A Alzamzamy proposed the questionnaire and revised it; Zaghloul M performed statistical analysis; Emara MH, Ahmed MH, Mohamed SY, Ramadan HKA, Alboraie M, Zaghloul M, and Tag-Adeen M wrote the draft; all authors revised the article, read the final manuscript and all approved it; all authors performed web search, aid in questionnaire distribution.
Institutional review board statement: The institutional review board of Kafrelsheikh University approved the questionnaire (approval code MKSU code 36-9-21).
Informed consent statement: In this survey form all participants were informed about the volunteer role to participate.
Conflict-of-interest statement: All authors declare that they did not have any conflict of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at [emara_20007@yahoo.com].
STROBE statement: All the authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohamed H Emara, MD, Professor, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Algeish, Kafr Elshiekh 33516, Egypt. emara_20007@yahoo.com
Received: November 12, 2021
Peer-review started: November 12, 2021
First decision: December 12, 2021
Revised: December 22, 2021
Accepted: March 26, 2022
Article in press: March 26, 2022
Published online: April 16, 2022
Processing time: 146 Days and 13.8 Hours
Core Tip

Core Tip: A paradigm shift in the management of superficial bowel neoplasia had been observed over the last few decades with the introduction of new endoscopic resection techniques and the advancements reported in the endoscopes and accessories. These advanced endoscopic resection techniques especially endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) necessitates the insertion of knowledge and improvement of the practice attitude of the practitioners before delivering education and training programs to skilled endoscopists. The current study investigated these aspects among Egyptian practitioners and it revealed a significant deficiency in the knowledge and attitude with lack of trained endoscopists in both EMR and ESD in part is due to unsuitable infrastructures of many endoscopy units.